Preissler P
St. barbarbara-Hospital, Barbarastrasse 67, 47167 Duisburg.
Kongressbd Dtsch Ges Chir Kongr. 2002;119:507-12.
Arthroscopy is a standard procedure for the diagnosis of wrist disorders. Provided it is preceded by a thorough clinical investigation it is highly effective in detecting cartilagineous, osseous and ligamenteous lesions. Sometimes even intraarticular occult ganglia are visible. Especially triangular-fibrocartilage-lesions can be classified and give hints at instabilities of the distal radioulnar joint. Arthroscopy of the radiocarpal joint alone is not sufficient. The midcarpal joint must be visualized, too. Although disorders of the distal radioulnar joint are frequent, it is usually too narrow to permit an arthroscopic investigation.
关节镜检查是诊断腕部疾病的标准方法。如果在此之前进行全面的临床检查,它在检测软骨、骨和韧带损伤方面非常有效。有时甚至可以看到关节内隐匿性腱鞘囊肿。特别是三角纤维软骨损伤可以进行分类,并提示桡尺远侧关节的不稳定情况。仅进行桡腕关节的关节镜检查是不够的。腕中关节也必须进行观察。尽管桡尺远侧关节疾病很常见,但它通常太狭窄,无法进行关节镜检查。